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MDOT Veterans Resource Expo

Welcome to the registration for the MDOT Veterans Resource Expo

Maryland Department of Transportation
Veterans Resource Expo
Monday, April 30, 2012
10:00 AM - 3:00 PM
5th Regiment Armory
219 W. 29th Division Street
Baltimore, MD 21202

You MUST pre-register for this event by completing this form.

Disclaimer: The Maryland Department of Transportation (MDOT) utilizes a third-party software, which is owned and administered by SurveyMonkey, to collect registration data. Information you provide will be transferred to SurveyMonkey's server. SurveyMonkey employs Secure Sockets Layer (SSL) technology which protects user information using both server authentication and data encryption, ensuring that the user data is safe, secure, and available only to authorized persons. Proceeding with the registration process signifies your informed consent of this transfer period. A copy of SurveyMonkey's privacy and security policies can be found on their website http://www.surveymonkey.com/mp/policy/index/
1.FIRST NAME:(Required.)
2.LAST NAME:(Required.)
3.EMAIL ADDRESS:(Required.)
4.CONFIRM EMAIL ADDRESS:(Required.)
5.MAILING ADDRESS:(Required.)
6.ADDRESS 2:
7.CITY:(Required.)
8.STATE:(Required.)
9.ZIP CODE:(Required.)
10.DAYTIME PHONE:(Required.)
11.An eligible veteran is defined as: a veteran of any branch of the armed forces of the United States who has received an honorable discharge or a certificate of satisfactory completion of military service, including the National Guard and the military reserves.

Are you an eligible veteran?(Required.)
12.An eligible spouse is defined as: the spouse of an eligible veteran who has a service connected disability or the surviving spouse of a deceased eligible veteran who remains unmarried.

If you are NOT an eligible veteran, are you an eligible spouse?
13.I acknowledge that I must bring official documentation of my veteran or spouse status to the Veterans Resource Expo.

Accepted documents include:
1. Honorable discharge or certificate of service (Form DD-214).
2. Evidence of service connected disability [for example, letter from Veteran's Administration dated within the last six (6) months].
3. Spouse enlistment, induction or entry to active duty.
4. Marriage license or certificate of marriage.
5. Death certificate or other acceptable proof showing date of spouse's death.
6. Affidavit showing spouse is so incapacitated that s/he is unable physically to hold position if appointed.
7. Birth certificate or other acceptable proof of veteran's age and proof of disability.
8. Letter from Guard or Reserve Unit, certificate of service, or other acceptable proof (proof indicating date of entry and years of service, such as Form 2-1).
9. United States Uniformed Services Identification Card (DD Form -2)(Required.)
14.I would like a FREE TRANSIT PASS (to be used on April 30 only). If you answer yes, a transit pass will be sent to the mailing address provided above.(Required.)
15.Do you have any dietary restrictions?